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ways to stimulate anorexia and cachexia - CORRECT ANSWER Stimulate appetite:
dexamethasone (Decadron); megestrol acetate (Megace); and dronabinol (Marinol)
depression in end of life - CORRECT ANSWER Don't confuse with sadness and
anticipatory grieving
Relief of physical symptoms, attention to emotional and spiritual distress
Psycho stimulants: selective serotonin reuptake inhibitors; tricyclic antidepressants
(weeks to take effect)
little time: (methyphenidate, Ritalin- effect in 1-2 days)
medication to help with depression at end of life - CORRECT ANSWER Psycho
stimulants: selective serotonin reuptake inhibitors; tricyclic antidepressants (weeks to
take effect)
little time: (methyphenidate, Ritalin- effect in 1-2 days)
signs of nearing death at end of life - CORRECT ANSWER Loss of appetite
↓ oral intake; ↓ thirst; ↓ urinary output
↑ weakness/fatigue, sleeping more
↓ blood perfusion; ↑ peripheral cyanosis; cool extremities, mottling, ↓HR and BP
Neurological dysfunction: delirium, LOC, coma
, Loss of ability to close eyes
Irregular breathing patterns; noisy breathing, "death rattle"
May report vision-like experiences such as seeing family or friends who have died
neurological dysfunction at end of life - CORRECT ANSWER Neurological dysfunction:
delirium, LOC, coma
Loss of ability to close eyes
Irregular breathing patterns; noisy breathing, "death rattle"
clinical signs of death - CORRECT ANSWER Absence of heartbeat and respirations
Fixed pupils
Skin color turns to waxen pallor and extremities may darken/mottled
Body temperature drops
Muscles and sphincters relax; resulting in release of urine and stool
notification of death - CORRECT ANSWER Family members present or not
Pronouncement of death by MD or RN
Communicate in plain language and in person if possible
Sit down with the family members, have eye contact
Express your sympathy